Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lower Cape Fear Dermatology Clinic, PA

Organization Specialist · NPI 1770509358

Lower Cape Fear Dermatology Clinic, PA is a Specialist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3904 Oleander Dr Ste 102
Wilmington, NC 28403-6717
Phone: (910) 452-0400
Fax: (910) 452-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 103912 (NC)

Record details

NPI number1770509358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marylou Courrege — President/Owner · (910) 452-0400
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 30, 2009
Mailing address3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717

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